Clinical Physiology of Circulation

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


The replacement blood flow as a determinant of tactics interventional treatment of acute coronary syndrom

Authors: Bocharov A.V., Popov L.V., Bravyy E.A.

Company:
1 Ye.I. Korolyov Kostroma Regional Clinical Hospital, Kostroma, 156013, Russian Federation
2 National Medical and Surgical Center named after N.I. Pirogov, Moscow, 105203, Russian Federation

E-mail: Сведения доступны для зарегистрированных пользователей.

DOI: https://doi.org/10.24022/1814-6910-2021-18-1-84-87

UDC: 616.132.2-089

Link: Clinical Physiology of Blood Circulaiton. 2021; 1 (18): 84-87

Quote as: Bocharov A.V., Popov L.V., Bravyy E.A. The replacement blood flow as a determinant of tactics interventional treatment of acute coronary syndrome. Clinical Physiology of Circulation. 2021; 18 (1): 84–7 (in Russ.). DOI: 10.24022/1814-6910-2021-18-1-84-87

Received / Accepted:  20.10.2020 / 19.11.2020

Full text:  

Abstract

The presented clinical case shows the importance of assessing the replacement blood flow in the coronary bed, the severity of which in some cases depends on the tactics of revascularization of the coronary bed in acute coronary syndrome. A sharp decrease in replacement blood flow, for example, in the case of thrombosis of the donor artery, may cause acute coronary syndrome in the recipient's artery pool, which requires the use of non-standard interventional treatment tactics, in particular, urgent revascularization is required by the donor artery that provides replacement blood flow.

References

  1. Сердечно-сосудистые заболевания. Информационный бюллетень ВОЗ 17 мая 2017. https://www.who.int/ru/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds) (дата обращения 15.10.2020)
  2. Keeley E.C., Boura J.A., Grines C.L. Primary angioplasty versus intravenous thrombolytic therapy for acute myocardial infarction: a quantative review of 23 randomized trials. Lancet. 2003; 361 (9351): 13–20. DOI: 10.1016/S0140-6736(03)12113-7
  3. Ibanez B., James S., Agewall S., Antunes M.J., Bucciarelli-Ducci C., Bueno H. et al. 2017 ESC Guidelines for the managements of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). Eur. Herat J. 2018; 39 (2): 119–77. DOI: 10.1093/eurheartj/ehx393
  4. Рентгенэндоваскулярная хирургия ишемической болезни сердца. В кн.: Бокерия Л.А., Алекян Б.Г. (ред.) Руководство по рентгенэндоваскулярной хирургии сердца и сосудов. В 3-х т. Т. 3. М.: НЦССХ им. А.Н. Бакулева РАМН; 2008.
  5. Фомичев А.В., Чернявский А.М., Таркова А.Р., Ибрагимов Р.У., Карева Ю.Е., Минин С.М., Никитин Н.А. Влияние коллатерального кровотока на кровоснабжение и функцию миокарда. Российский кардиологический журнал. 2017; 22 (8): 70–4. DOI: 10.15829/1560-4071-2017-8-70-74
  6. Sasayama S., Fujita M. Recent insights into coronary collateral circulation. Circulation. 1992; 85: 1197–204.
  7. Van Royen N., Piek J.J., Schaper W., Bode C., Buschmann I. Arteriogenesis: mechanisms and modulation of collateral artery development. J. Nucl. Cardiol. 2001; 8: 687–93.
  8. Buller C.E., Dzavik V., Carere R.G., John Mancini G.B., Barbeau G., Lazzam C. et al. Primary stenting versus balloon angioplasty in occluded coronary arteries: the total occlusion study of Canada (TOSCA). Circulation. 1999; 100: 236–42.
  9. Rockstroh J., Brown B.G. Coronary collateral size, flow capacity and growth. Estimates from the angiogram in patients with obstructive coronary artery disease. Circulation. 2002; 105: 168–73.
  10. Werner G.S., Ferrari M., Betge S., Gastmann O., Richartz B.M., Figulla H.R. Collateral function in chronic total coronary occlusions is related to regional myocardial function and duration of occlusion. Circulation. 2001; 104: 2784–90.
****
  1. Cardiovascular disease (CVDs). Fact sheets 17 may 2017 (in Russ.). https://www.who.int/ru/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds) (дата обращения 15.10.2020)
  2. Keeley E.C., Boura J.A., Grines C.L. Primary angioplasty versus intravenous thrombolytic therapy for acute myocardial infarction: a quantative review of 23 randomized trials. Lancet. 2003; 361 (9351): 13–20. DOI: 10.1016/S0140-6736(03)12113-7
  3. Ibanez B., James S., Agewall S., Antunes M.J., Bucciarelli-Ducci C., Bueno H. et al. 2017 ESC Guidelines for the managements of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). Eur. Herat J. 2018; 39 (2): 119–77. DOI: 10.1093/ eurheartj/ehx393
  4. X-ray surgery of coronary heart disease. In: Bockeria L.A., Alekyan B.G. (Eds.). Guidance on X-ray endovascular surgery of heart and vessels. Moscow; 2008; 3 (in Russ.).
  5. Fomichev A.V., Chernyavskij A.M., Tarkova A.R., Ibragimov R.U., Kareva Yu.E., Minin S.M., Nikitin N.A. Impact of collateral circulation on blood supply and function of myocardium. Russian Journal of Cardiology. 2017; 22 (8): 70–4 (in Russ.). DOI: 10.15829/1560- 4071-2017-8-70-74
  6. Sasayama S., Fujita M. Recent insights into coronary collateral circulation. Circulation. 1992; 85: 1197–204.
  7. Van Royen N., Piek J.J., Schaper W., Bode C., Buschmann I. Arteriogenesis: mechanisms and modulation of collateral artery development. J. Nucl. Cardiol. 2001; 8: 687–93.
  8. Buller C.E., Dzavik V., Carere R.G., John Mancini G.B., Barbeau G., Lazzam C. et al. Primary stenting versus balloon angioplasty in occluded coronary arteries: the total occlusion study of Canada (TOSCA). Circulation. 1999; 100: 236–42.
  9. Rockstroh J., Brown B.G. Coronary collateral size, flow capacity and growth. Estimates from the angiogram in patients with obstructive coronary artery disease. Circulation. 2002; 105: 168–73.
  10. Werner G.S., Ferrari M., Betge S., Gastmann O., Richartz B.M., Figulla H.R. Collateral function in chronic total coronary occlusions is related to regional myocardial function and duration of occlusion. Circulation. 2001; 104: 2784–90.

About Authors

  • Aleksandr V. Bocharov, Cand. Med. Sc., Head of Department, Endovascular Surgeon; ORCID
  • Leonid V. Popov, Dr. Med. Sc., Professor, Head of Department, Cardiovascular Surgeon; ORCID
  • Evgeniy A. Bravyy, Anesthesiologist-Intensivist; ORCID

 If you found mistakes, select text and press Alt+A